NCT04730349

Brief Summary

The purpose of this study is to first, in Part A, assess the safety, tolerability and drug levels of Bempegaldesleukin (BEMPEG) in combination with nivolumab and then, in Part B, to estimate the preliminary efficacy in children, adolescents and young adults with recurrent or treatment-resistant cancer.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
15

participants targeted

Target at below P25 for phase_1

Timeline
Completed

Started Jun 2021

Geographic Reach
6 countries

18 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 26, 2021

Completed
3 days until next milestone

First Posted

Study publicly available on registry

January 29, 2021

Completed
4 months until next milestone

Study Start

First participant enrolled

June 3, 2021

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 22, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 22, 2022

Completed
9 months until next milestone

Results Posted

Study results publicly available

March 24, 2023

Completed
Last Updated

March 24, 2023

Status Verified

March 1, 2023

Enrollment Period

1.1 years

First QC Date

January 26, 2021

Results QC Date

December 21, 2022

Last Update Submit

March 22, 2023

Conditions

Keywords

B-cell leukemia/lymphoma/non-Hodgkin lymphoma (NHL)BEMPEGBempegaldesleukinCD122-Biased AgonistCD122-Biased CytokineCheck point inhibitorEpendymomaEwing sarcomaHigh-grade glioma (HGG)/diffuse intrinsic pontine glioma (DIPG)ImmunotherapyIL-2IL-2 Receptor AgonistLeukemia and lymphomaMedulloblastomaMelanomaMiscellaneous brain tumorsMiscellaneous solid tumorsNeuroblastomaNivolumabNKTR-214NIVONon-rhabdomyosarcoma soft-tissue sarcomasOpdivo®Pediatric cancerPediatric malignancyRhabdomyosarcoma

Outcome Measures

Primary Outcomes (9)

  • Number of Participants With Dose-Limiting Toxicities (DLTs) - Part A

    Number of participants with dose-limiting toxicities (DLTs). DLTs were collected and evaluated for Part A within the DLT evaluation period, which started on Cycle 1 Day 1 (first dose) and ended at Day 42 (42 days after first dose of the study therapy).

    From first dose to 42 days after first dose

  • Number of Participants With Adverse Events (AEs) - Part A

    Number of participants with adverse events (AEs). An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.

    From first dose to 30 days after last dose (up to approximately 6 months)

  • Number of Participants With Serious Adverse Events (SAEs) - Part A

    Number of participants with serious adverse events (SAEs). SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or causes prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is an important medical event.

    From first dose to 30 days after last dose (up to approximately 6 months)

  • Number of Participants With Drug-Related Adverse Events - Part A

    Number of participants with drug-related adverse events. An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.

    From first dose to 30 days after last dose (up to approximately 6 months)

  • Number of Participants With Adverse Events Leading to Discontinuation - Part A

    Number of participants with adverse events leading to discontinuation. An AE is defined as any new untoward medical occurrence or worsening of a preexisting medical condition in a clinical investigation participant administered study treatment and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of study treatment, whether or not considered related to the study treatment.

    From first dose to 30 days after last dose (up to approximately 6 months)

  • Number of Participants Who Died - Part A

    Number of participants who died.

    From first dose to 30 days after last dose (up to approximately 6 months)

  • Maximum Observed Plasma Concentration (Cmax) - Part A

    Pharmacokinetics (PK) of bempegaldesleukin and nivolumab derived from serum concentration versus time data.

    From first dose to 30 days after last dose (up to approximately 6 months)

  • Trough Observed Concentration (Ctrough) - Part A

    Pharmacokinetics (PK) of bempegaldesleukin and nivolumab derived from serum concentration versus time data.

    From first dose to 30 days after last dose (up to approximately 6 months)

  • Area Under the Plasma Concentration (AUC) - Part A

    Pharmacokinetics (PK) of bempegaldesleukin and nivolumab derived from serum concentration versus time data.

    From first dose to 30 days after last dose (up to approximately 6 months)

Study Arms (13)

A1W Dosing schema

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

A1F Dosing schema

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

A2W Dosing schema

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

A2F Dosing schema

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

Part B: Cohort B1 Neuroblastoma

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

Part B: Cohort B2 Ewing sarcoma

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

Part B: Cohort B3 Rhabdomyosarcoma

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

Part B: Cohort B4 Miscellaneous solid tumors

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

Part B: Cohort B5 NHL/leukemia

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

Part B: Cohort B6 High-grade glioma

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

Part B: Cohort B7 Medulloblastoma and Embryonal Tumors

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

Part B: Cohort B8 Ependymoma

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

Part B: Cohort B9 Miscellaneous brain tumors

EXPERIMENTAL
Biological: NivolumabBiological: NKTR-214

Interventions

NivolumabBIOLOGICAL

Specified dose on specified days

Also known as: BMS-936558-01
A1F Dosing schemaA1W Dosing schemaA2F Dosing schemaA2W Dosing schemaPart B: Cohort B1 NeuroblastomaPart B: Cohort B2 Ewing sarcomaPart B: Cohort B3 RhabdomyosarcomaPart B: Cohort B4 Miscellaneous solid tumorsPart B: Cohort B5 NHL/leukemiaPart B: Cohort B6 High-grade gliomaPart B: Cohort B7 Medulloblastoma and Embryonal TumorsPart B: Cohort B8 EpendymomaPart B: Cohort B9 Miscellaneous brain tumors
NKTR-214BIOLOGICAL

Specified dose on specified days

Also known as: Bempegaldesleukin (BEMPEG)
A1F Dosing schemaA1W Dosing schemaA2F Dosing schemaA2W Dosing schemaPart B: Cohort B1 NeuroblastomaPart B: Cohort B2 Ewing sarcomaPart B: Cohort B3 RhabdomyosarcomaPart B: Cohort B4 Miscellaneous solid tumorsPart B: Cohort B5 NHL/leukemiaPart B: Cohort B6 High-grade gliomaPart B: Cohort B7 Medulloblastoma and Embryonal TumorsPart B: Cohort B8 EpendymomaPart B: Cohort B9 Miscellaneous brain tumors

Eligibility Criteria

AgeUp to 30 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Age \< 18 years for Part A and Part B
  • Age up to 30 years for Part B Cohorts B2, B3 and B4
  • Must have received standard of care therapy and there must be no potentially curative treatment available
  • Histologically confirmed with malignant neoplasms that are refractory, relapsed, or curative treatments are lacking
  • Must have measurable or evaluable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 for solid tumors, Response Assessment in Neuro-Oncology (RANO) or Response Assessment in Pediatric Neuro-Oncology (RAPNO) for central nervous system tumors, International Pediatric Non-Hodgkin Lymphoma Response Criteria for non-Hodgkin lymphoma (NHL), revised International Neuroblastoma Response Criteria (INRC) for neuroblastoma, modified National Comprehensive Cancer Network (NCCN) Criteria for acute lymphoblastic leukemia, and modified Cheson et al International Working Group criteria for acute myeloid leukemia
  • Lansky play score for age ≤ 16 years or Karnofsky performance score for age \> 16 years assessed within 2 weeks of enrollment must be ≥ 60

You may not qualify if:

  • Osteosarcoma, T-cell/Natural Killer (NK) cell leukemia/lymphoma, and Hodgkin's lymphoma
  • Need for \> 2 antihypertensive medications for management of hypertension (including diuretics)
  • Known cardiovascular history, including unstable or deteriorating cardiac disease, within the previous 12 months prior to screening
  • Inadequately treated adrenal insufficiency
  • Active, known, or suspected autoimmune disease
  • Active infection requiring systemic therapy within 14 days prior to first dose
  • Condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days of start of study treatment
  • Prior allogeneic stem cell transplant
  • Previous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection either suspected or confirmed within 4 weeks prior to screening

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (18)

Local Institution - 0029

Little Rock, Arkansas, 72202, United States

Location

Local Institution - 0011

St Louis, Missouri, 63110, United States

Location

Local Institution - 0001

Randwick, New South Wales, 2031, Australia

Location

Local Institution

South Brisbane, Queensland, 4101, Australia

Location

Local Institution - 0002

Parkville, Victoria, 3052, Australia

Location

Local Institution - 0003

Perth, Western Australia, 6009, Australia

Location

Local Institution - 0013

Villejuif, Val-de-Marne, 94805, France

Location

Local Institution - 0014

Lyon, 69373 cedex 03, France

Location

Local Institution - 0016

Marseille, 13385, France

Location

Local Institution - 0015

Paris, 75005, France

Location

Local Institution - 0038

Hamburg, 20246, Germany

Location

Local Institution - 0039

Tübingen, 72076, Germany

Location

Local Institution - 0037

Würzburg, 97080, Germany

Location

Local Institution - 0027

Milan, 20133, Italy

Location

Local Institution - 0009

Madrid, Madrid, Comunidad de, 28009, Spain

Location

Local Institution - 0008

Barcelona, 08035, Spain

Location

Local Institution - 0059

Seville, 41013, Spain

Location

Local Institution - 0028

Valencia, 46026, Spain

Location

Related Links

MeSH Terms

Conditions

EpendymomaSarcoma, EwingGliomaLeukemiaLymphomaMedulloblastomaNeuroblastomaRecurrenceNeoplasmsRhabdomyosarcomaLeukemia, B-CellLymphoma, Non-HodgkinMelanoma

Interventions

Nivolumabbempegaldesleukin

Condition Hierarchy (Ancestors)

Neoplasms, NeuroepithelialNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasms, Glandular and EpithelialNeoplasms, Nerve TissueOsteosarcomaNeoplasms, Bone TissueNeoplasms, Connective TissueNeoplasms, Connective and Soft TissueSarcomaHematologic DiseasesHemic and Lymphatic DiseasesLymphoproliferative DisordersLymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesNeuroectodermal Tumors, PrimitiveNeuroectodermal Tumors, Primitive, PeripheralDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsMyosarcomaNeoplasms, Muscle TissueLeukemia, LymphoidNeuroendocrine TumorsNevi and MelanomasSkin NeoplasmsNeoplasms by SiteSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Limitations and Caveats

On 14-Apr-2022, a joint decision was made to end the clinical development program for bempegaldesleukin in combination with nivolumab, resulting in the termination of this study. This results disclosure report provides analyses from CA045-020 Part A safety analyses only. Part B of the study (expansion phase) did not enroll any participants.

Results Point of Contact

Title
Bristol-Myers Squibb Study Director
Organization
Bristol-Myers Squibb

Study Officials

  • Bristol-Myers Squibb

    Bristol-Myers Squibb

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 26, 2021

First Posted

January 29, 2021

Study Start

June 3, 2021

Primary Completion

June 22, 2022

Study Completion

June 22, 2022

Last Updated

March 24, 2023

Results First Posted

March 24, 2023

Record last verified: 2023-03

Locations